Mr. Blake Hamilton Gilliam
Mr. Blake Hamilton Gilliam is a Gerontology Nurse Practitioner in Madison, Alabama. Practices as a sole proprietor. Licensed in Alabama.
- Licensed in
- AL
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
1230 Slaughter Rd Ste CMadison, AL 35758-5901
Phone: (256) 325-0955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 1-153719 (AL) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 1-153719 (AL) |
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X · Licence 1-153719 (AL) |
Record details
| NPI number | 1043845787 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 3, 2020 |
| Last updated in NPPES | March 3, 2020 |
| Certification date | March 3, 2020 |
| Mailing address | 1230 Slaughter Rd Ste C, Madison, AL 35758-5901 |
Other providers in Madison
-
Johnna Grimes, AGACNP-BC
101 Westover Cir Ste B, Madison, AL 35758-4910 · (256) 325-3800
-
Mackenzi Montoya
8263 Madison Blvd Ste E, Madison, AL 35758-2051 · (256) 533-6488
-
Jenny Southwood, CRNP
8371 Highway 72 W Ste 104, Madison, AL 35758-9505 · (256) 265-5970